Freeman, Lynn v. 2022-06-0596
Lynn Freeman, an employee of Kirby Pines Estates, sought an expedited hearing to compel her employer to provide a recommended lumbar fusion surgery by her authorized treating physician, Dr. Glenn Crosby, for a back injury sustained in July 2021. The proposed surgery, a transforaminal lumbar interbody fusion (TLIF), was initially denied through utilization review and upheld on appeal, with medical experts citing Official Disability Guidelines (ODG) and a lack of significant spinal instability. While Dr. Crosby supported the surgery and dismissed the guidelines, the Court found the employer successfully rebutted the presumption of medical necessity using the opinions of Drs. Samuel Murrell and Maria Sumas. Their assessments, which aligned with ODG and noted the resolution of Ms. Freeman's radicular complaints, were deemed more persuasive. Consequently, the Court denied Ms. Freeman’s request for the TLIF procedure, setting a status conference for future proceedings.